Individual
ABOULIQUISI M. SIMPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 21ST ST NE APT 10, WASHINGTON, DC 20002-4138
(202) 617-6468
Mailing address
859 21ST ST NE APT 10, WASHINGTON, DC 20002-4138
(202) 617-6468
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11462
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6HKRA4QFWB
NPI NUMBER
DC
Enumeration date
12/15/2015
Last updated
04/04/2018
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